Glendale Memorial Hospital Health Center
1420 S Central Ave, Glendale, CA · CommonSpirit Health · · NPI 1477610640
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Albumin serum plasma or whole blood CPT 82040 | $57.38 | $176.00 | $1.42 – $11.05 | 20 |
| Alcohol/subs interv >30 min HCPCS G0397 | $100.74 | $309.00 | $75.77 – $255.19 | 19 |
| Aldesleukin injection HCPCS J9015 | $12,225.00 | $37,500.00 | $4,596.61 – $30,000.00 | 20 |
| Alkaline phosphatase CPT 84075 | $13.70 | $42.00 | $1.00 – $11.56 | 20 |
| Allergen alpha lactalbumin ige CPT 86008 | $3.73 | $11.43 | $0.38 – $39.97 | 20 |
| Allergen egg white ige CPT 86003 | $3.73 | $11.42 | $0.88 – $11.63 | 20 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $2.40 | $7.35 | $1.14 – $17.77 | 19 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $750.60 – $16,348.58 | 13 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $4,423.82 | $13,570.00 | $40.00 – $3,613.50 | 16 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $12,640.65 | $38,775.00 | $40.00 – $7,944.75 | 16 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $5,752.27 | $17,645.00 | $40.00 – $3,613.50 | 16 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $16,433.66 | $50,410.00 | $40.00 – $965.25 | 16 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $7,478.44 | $22,940.00 | $40.00 – $4,697.55 | 16 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $19,884.37 | $60,995.00 | $30.59 – $6,108.30 | 17 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $16,433.66 | $50,410.00 | $40.00 – $1,638.45 | 17 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $7,478.44 | $22,940.00 | $40.00 – $6,108.30 | 17 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $1,546.87 | $4,745.00 | $40.00 – $2,776.95 | 16 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $7,478.44 | $22,940.00 | $40.00 – $2,776.95 | 16 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $5,752.27 | $17,645.00 | $40.00 – $7,944.75 | 17 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $32.28 | $99.00 | $19.80 – $143.66 | 20 |
| Alpha-fetoprotein amniotic CPT 82106 | $24.78 | $76.00 | $15.20 – $76.00 | 20 |
| Alpha-fetoprotein tumor marker CPT 82105 | $38.15 | $117.00 | $1.00 – $37.40 | 20 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $28,503.49 | $87,434.00 | $72.94 – $1,520.00 | 20 |
| Alt/sgpt CPT 84460 | $66.51 | $204.00 | $3.40 – $17.00 | 20 |
| Aluminum - quest CPT 82108 | $3.94 | $12.06 | $2.42 – $56.82 | 20 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $343.77 – $4,120.64 | 13 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $136.27 | $418.00 | $104.50 – $334.40 | 18 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $62.92 | $193.00 | $0.89 – $80.00 | 15 |
| Amino acids quant 2-5 CPT 82136 | $29.70 | $91.08 | $18.22 – $85.20 | 20 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $44.01 | $135.00 | $14.24 – $71.20 | 12 |
| Aminolevulinic acid delta CPT 82135 | $14.38 | $44.11 | $8.83 – $44.11 | 20 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $9.13 | $28.00 | $4.16 – $24.18 | 13 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $175.39 | $538.00 | $65.12 – $325.60 | 12 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $30.00 | $92.00 | $0.41 – $20.80 | 13 |
| Ammonia CPT 82140 | $51.19 | $157.00 | $14.57 – $125.60 | 20 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $65.71 – $1,272.31 | 13 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $111.88 – $473.25 | 13 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $557.39 – $4,122.60 | 13 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $153.88 | $472.00 | $17.22 – $377.60 | 15 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $661.78 | $2,030.00 | $4.16 – $32.50 | 20 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $2,432.29 | $7,461.00 | $1.17 – $21.60 | 15 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $58.36 | $179.00 | $2.71 – $43.20 | 13 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $453.91 – $4,122.60 | 13 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $1,266.99 – $6,391.05 | 8 |
| Amputate hand at wrist CPT 25922 | not published | not published | $491.30 – $2,096.64 | 13 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $609.47 – $4,122.60 | 13 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $1,096.10 – $5,529.05 | 8 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $468.60 – $4,122.60 | 13 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $658.19 – $4,122.60 | 13 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $690.90 – $9,076.82 | 13 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $478.63 – $2,324.22 | 13 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $756.32 – $4,122.60 | 13 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $473.28 – $4,122.60 | 13 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $1,046.70 – $4,466.80 | 13 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $907.19 – $4,576.10 | 8 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $1,113.45 – $5,616.60 | 8 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $907.19 – $9,076.82 | 13 |
| Amputation of lower leg CPT 27882 | not published | not published | $793.69 – $4,003.70 | 8 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $756.32 – $3,815.05 | 8 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $756.32 – $4,122.60 | 13 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $363.14 – $4,122.60 | 13 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $409.20 – $4,122.60 | 13 |
| Amylase CPT 82150 | $79.55 | $244.00 | $1.50 – $14.44 | 20 |
| Anal pressure record CPT 91122 | $479.88 | $1,472.00 | $108.24 – $1,177.60 | 19 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $130.17 – $248.50 | 13 |
| Anal/urinary muscle study CPT 51785 | $393.81 | $1,208.00 | $113.48 – $966.40 | 20 |
| Analysis gene f2 20210g>a variant CPT 81240 | $13.04 | $40.00 | $10.00 – $146.50 | 19 |
| Analysis gene f5 leiden variant CPT 81241 | $11.41 | $35.00 | $8.75 – $163.62 | 19 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $116.39 | $357.00 | $60.46 – $285.60 | 18 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $13.04 | $40.00 | $8.00 – $32.00 | 9 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $1,511.97 – $7,626.85 | 8 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $1,663.49 – $8,391.15 | 8 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $1,735.58 – $8,754.85 | 8 |
| Anca screen with reflex to titer -quest CPT 86021 | $20.50 | $62.86 | $12.58 – $62.86 | 20 |
| An cholangiogram percutaneous compl CPT 47531 | not published | not published | $341.03 – $4,484.02 | 13 |
| Androstanediol CPT 82154 | $31.63 | $97.00 | $19.40 – $97.00 | 20 |
| An fluoro guide for cvp CPT 77001 | $144.10 | $442.00 | $63.56 – $417.39 | 15 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | not published | not published | $665.67 – $3,328.35 | 8 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | not published | not published | $389.43 – $7,244.35 | 13 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | not published | not published | $353.31 – $7,244.35 | 13 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | not published | not published | $171.63 – $858.15 | 8 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $9,226.46 | $28,302.00 | $0.48 – $2.40 | 13 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | not published | not published | $475.43 – $14,409.33 | 13 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | not published | not published | $789.65 – $3,948.25 | 8 |
| Angio trnslmnl balloon same artery ini CPT 37246 | not published | not published | $1,960.53 – $8,293.04 | 13 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | not published | not published | $577.07 – $2,885.35 | 8 |
| Angio trnslmnl balloon same vein ini CPT 37248 | not published | not published | $1,351.82 – $7,244.35 | 13 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $973.27 – $4,153.39 | 13 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $1,015.99 – $9,076.82 | 13 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $756.32 – $4,122.60 | 13 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $446.30 – $4,122.60 | 13 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $469.10 – $4,122.60 | 13 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $519.83 – $4,122.60 | 13 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $738.27 – $9,076.82 | 13 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $49.30 – $381.07 | 13 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $67.16 | $206.00 | $51.50 – $435.27 | 13 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $78.24 | $240.00 | $60.00 – $464.88 | 14 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $67.49 | $207.00 | $51.75 – $482.64 | 13 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $105.30 | $323.00 | $80.75 – $559.21 | 14 |
| Anora (draw only) CPT 99001 | $85.58 | $262.50 | $6.00 – $24.00 | 9 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.